Laserfiche WebLink
❑ Keller Canyon ❑ Ox MountainElNewby Island ❑ Forward <br /> Sanitaryt--andfill - - ---Sanitary Landfill Sanitdry Landfill Landfill <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Lending Road 9999 S Austin Road <br /> Pittsburg,CA 94565 Half Moon Bay, CA 94019 Milpitas, CA 95035 Manteca,CA 95336 <br /> Phone(925)45 -9800 Phone (650) 726-1819 Phone(408)945-2800 Phone (209) 982-4298 <br /> Fax(925)45891 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> MAI I ESS _3432 <br /> CI REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> PHTA?522 1-0711 WM <br /> 0 GLOVES ❑GOGGLES U RESPIRATOR El HADD HAT <br /> ❑TY-VEK El OTHER <br /> CO N SPECIAL HANDLING PROCEDURES <br /> SIG DATE <br /> GENERATOR 9 CE IFICATION f,rejlliby rtity Ore 0 Above named a rdous <br /> waste as defined by 40 CFR Part 2 r tide 22 of alit has been property <br /> desoflbed classified and packaged and is in r condo f on a cwdng to applicable <br /> regulatktm AND,If the waste is a treetmerN due of a ly restricted haardous waste <br /> subjed to the Land Dlspasal Restrictions I certify and warrant that the waste has been treated In RECEIVING FACILITY <br /> aocordence with the requirements of 40 CFR Part 268 and is no Ionger a hazardous waste as defined by <br /> 40 CFR Part 261 <br /> WASTE TYPE <br /> •DISPOSAL U SLUDGE — <br /> ❑CONSTRUCTION ❑WOOD <br /> ❑DEBRIS ❑OTHER <br /> O SPECIAL WASTE <br /> GENERATING FACILITY <br /> 7 ELEVEN#19978 1399 NORTH MAIN STREET <br /> k"NSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADD <br /> CIA , <br /> GA 96M <br /> PHA1114END DUMP BOTTOM DUMP TRANSFER <br /> SIG THORIZED AGENT OR DRIVER JbATE ROLL'-OFIF(S) FLAT BED VAN DRUMS <br /> - _; '4' -71 ,(1 —5 0 0 ' <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been 18 YARDS <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) <br /> Is true and accurate <br /> DISPOSE OTHER <br /> O SOIL � <br /> REMARKS <br /> ❑CONSTRUCTION <br /> FACILITY TICKET NUMBER a DEBRIS <br /> ❑NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE o WOOD <br /> r <br /> ❑ASH <br /> 1 <br /> ' O SPECIAL OTHER <br /> SCHEDULING MUST E PRIORTO 3.00 IT.M.THIE DAY PRIORM EXPECTED ARRIVAL-ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SALES COPY MANIFEST#225117 <br /> 22C117 <br />